Employment Application for New Staff

Thank you for your interest in a summer position with Perlman Camp. We encourage you to take your time completing this application as honestly and thoroughly as possible.

* required field

* First Name (Given Name)
* Last Name (Family Name)
* Date of Birth
* Gender    
Permanent Mailing Address
* Address Line 1
Address Line 2
* City
* State
* Zip
Country
Current Mailing Address (if different from above)
Address Line 1
Address Line 2
City
State
Zip
Country
Dates you will be at current address
* Email Address
* Home Phone (include area code)
School/Work Phone (include area code)
Cell Phone (include area code)
Social Security Number (American Citizens Only)
* What position(s) would you like to be considered for?
* What date are you available to arrive at camp?
* Are you available for the full summer (June 20 – August 13)? Yes   No
* Are you available for the first session only (June 20 – July 23)? Yes   No
* Are you available for Life Guard, Archery and or Ropes Course Training
(Lifeguard training is June 13 – 19)? 		Yes   No
* Are you available for Pre-Camp setup (June 1 – June 19)? Yes   No
* Would you like to help with Staff Recruitment? Yes   No
* Would you like to help with Camper Recruitment? Yes   No
Please explain any special arrangements you will require for work dates, transportation, days off, etc.

Education

High School
HS Graduation Date (or anticipated graduation date)


College/University
Graduation Date (or anticipated graduation date)
Degree Earned
Major
Graduate Work
Other Education, Jewish Education or Applicable Learning Experience

Extracurricular Activities

* Are you, or have you ever been a member of a youth group organization such as BBYO, USY, etc.? Yes   No
If yes, please list the name of the organization(s) and describe any leadership position(s) that you held.
Describe any relevant extracurricular activities and organizational affiliations (athletics, school clubs, community service, volunteer work, etc.)

Judaic Background

Please answer the following with respect to your ability to:

* Speak Hebrew
* Understand Hebrew
* Read Hebrew
* Write Hebrew
* Rate your knowledge of Jewish History, Culture, Customs and Rituals
* Are you able to help lead Shabbat Services? Yes   No
* Are you able to tutor Bar Bat Mitzvah students? Yes   No
* Have you ever been to Israel? Yes   No

Camp Experience

List all camps (name and location) where you were a camper


List all camp work experience starting with the most recent.

Camp 1
Camp Name
Location (City & State)
Position/Title
Dates of Employment
Salary
Supervisor Name


Camp 2
Camp Name
Location (City & State)
Position/Title
Dates of Employment
Salary
Supervisor Name


Other Relevant Camp Experience

Work Experience

List all previous work experience starting with the most recent.

Employer 1
Company Name
Address
Supervisor Name
Job Duties/Responsibilities
Dates of Employment
Position/Title
Telephone Number

Employer 2
Company Name
Address
Supervisor Name
Job Duties/Responsibilities
Dates of Employment
Position/Title
Telephone Number

Employer 3
Company Name
Address
Supervisor Name
Job Duties/Responsibilities
Dates of Employment
Position/Title
Telephone Number


Other Relevant Work Experience

Skills and Qualifications

Use the spaces provided below to describe your specific skills and qualifications. For each section, list your specific activity of interest and indicate if you are able to teach or assist in teaching that activity, as well as any useful related experience. If none, specify "none".

ATHLETICS

Archery, Baseball, Basketball, Fencing, Field Hockey, Fishing, Flag Football, Golf, Gymnastics, Martial Arts, Mountain Biking, Roller Hockey, Soccer, Softball, Tennis, Volleyball, Etc.

WATERFRONT

Canoeing, Diving, Kayaking, Life Guarding, Sailing, SCUBA, Snorkeling, Swimming, Swimming Instruction, Water Polo, Windsurfing, Etc.

OUTDOOR ADVENTURE

Backpacking, Camp Craft, Camping, Hiking, Indoor/Outdoor Rock Climbing, Knot Tying, Orienteering, Outdoor Living, Survival Skills, Ropes Course, Etc.

NATURE/SCIENCE

Animals (birds, fish, reptiles), Astronomy, Ecology, Nature Study, Rocketry, Etc.

DANCE

Aerobics, Ballet, Cheerleading, Choreography, Folk, Israeli, Jazz, Modern, Etc.

DRAMA/PERFORMING ARTS

Acting, Circus Arts, Costuming, Creative Dramatics, Directing, Juggling, Mime, Puppetry, Set Design, Stage Crew, Storytelling, Theatrical Lighting And Sound Systems, Etc.

MUSIC

Band, Drums, Guitar, Piano, Singing, Songleading, Etc.

VISUAL ARTS

Cartooning, Ceramics, Copper Enameling, Drawing, Handicrafts, Jewelry, Macramé, Painting, Paper Maché, Photography, Pottery, Sculpture, Sewing, Silkscreening, Weaving, Woodworking, Etc.

MEDIA & COMMUNICATIONS

Audio/Visual Equipment Systems, Computers, Creative Writing, Newspaper, Radio Broadcasting, Video Production, Yearbook, Etc.

OTHER

Accounting, Office Skills, Leadership Development, CDL License, Cooking, Etc.
Tell us about any skills or interests you have that were not listed above

Certifications

List all relevant certifications that you currently hold (First Aid, CPR, BLS, ALS, WSI, etc.) along with the expiration date(s)

Miscellaneous

* Describe how you would be able to positively affect the lives of campers at Perlman Camp
* Have you ever been convicted of a felony? Yes   No
If yes, please list the date and type of conviction
* How did you hear about Perlman Camp?
If you selected Camp Fair, Newspaper or Website, please enter the specific name/details.
* With which age group do you prefer and feel you are best prepared to work? (Check as many as apply.)  Younger than 7
 Ages 7-11
 Ages 12-13
 Ages 14-15
 Ages 16-17
 Doesn’t Matter

References

List three people (no family members, please) whom we may contact as references. Include first and last name, mailing address and telephone number with area code.

Reference 1
Name
Address
Telephone Number
Email

Reference 2
Name
Address
Telephone Number
Email

Reference 3
Name
Address
Telephone Number
Email



B’nai B’rith Perlman Camp is an equal opportunity employer and does not discriminate on the basis of age, color, religion, sex, disability or national origin.



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